# US 2026/0102206 A1 · Closed loop control for interoperable urology operating room > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2026/0102206 A1 - Document ID: US20260102206A1 - Status: Published application - Kind: A1 - Application number: 19/357,738 - Filed: 2025-10-14 - Published: 2026-04-16 - Earliest claimed: 2024-10-14 - Assignees: Boston Scientific Scimed, Inc. - Applicants: Boston Scientific Scimed, Inc. - Inventors: Jeffrey A. Meganck; Niraj Prasad Rauniyar; Hernan Altman; Christopher Stankus - Web page: https://patentgrep.com/patent/US20260102206A1 ## CPC - A61B 18/26: for producing a shock wave, e.g. laser lithotripsy - G16H 20/40: relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture - A61B 1/00006: {of control signals} - A61B 1/00009: {of image signals during a use of endoscope} - A61B 1/0005: {combining images e.g. side-by-side, superimposed or tiled} - A61B 1/00097: {Sensors} - A61B 1/307: for the urinary organs, e.g. urethroscopes or cystoscopes - A61B 18/20: using laser - A61G 13/00: Operating tables; Auxiliary appliances therefor (illumination of operating tables F21L, F21S or F21V {; adjustability of tables in general A47B9/00; tables for radiation diagnosis A61B6/04, drainage or irrigation pans, bags, or attachments A61G7/02, A61G7/0503}) - G16H 15/00: ICT specially adapted for medical reports, e.g. generation or transmission thereof - G16H 40/40: for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades - G16H 40/63: for local operation - G16H 40/67: for remote operation - A61B 1/015: Control of fluid supply or evacuation - A61B 18/12: by passing a current through the tissue to be heated, e.g. high-frequency current - A61B 2017/00199: {with a console, e.g. a control panel with a display} - A61B 2018/00011: {with fluids} - A61B 2018/00511: {Kidney} - A61B 2018/00642: {with feedback, i.e. closed loop control} - A61B 2018/00666: {using a threshold value} - A61B 2018/00702: {Power or energy} - A61B 2018/00744: {Fluid flow} - A61B 2018/00779: {Power or energy} - A61B 2018/00791: {Temperature} - A61B 2018/00863: {Fluid flow} - A61B 2018/00982: {combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes} - A61B 2218/002: Irrigation - A61B 2560/0271: using a remote monitoring unit - A61B 2560/0493: controlled by voice - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA - A61G: TRANSPORT, PERSONAL CONVEYANCES OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS (appliances for aiding patients or disabled persons to walk A61H3/00); OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES (embalming corpses A01N1/00) ## Abstract The disclosure provides a method for closed loop control in a urological operating room comprising: receiving, at a single control device, real-time information from a plurality of therapy consoles provisioned in an operating theater; determining whether the received information is outside a predetermined threshold range; automatically generating control signals based on a determination that the received information is outside the predetermined threshold range; sending the control signals to at least one therapy console of the plurality of therapy consoles to adjust an operational parameter of the at least one therapy console and mitigate a deviation from the predetermined threshold range; receiving real-time feedback information from the plurality of therapy consoles; iteratively updating the control signals based on the real-time feedback information; and sending the updated control signals to automatically adjust an operational parameter of the at least one therapy console and mitigate a remaining deviation from the predetermined threshold range. ## Claims ### Claim 1 A method for closed loop control in a urological operating room, comprising: receiving, at a single control device, real-time information from a plurality of therapy consoles provisioned in an operating theater, each of the plurality of therapy consoles comprising processing circuitry configured for use in performing a urological procedure; determining whether the received information is outside a predetermined threshold range, wherein the received information comprises physiological information, captured scene information, radiological image information, procedural state information, or any combination thereof; automatically generating control signals based on a determination that the received information is outside the predetermined threshold range; sending the control signals from the single control device to at least one therapy console of the plurality of therapy consoles to adjust an operational parameter of the at least one therapy console and mitigate a deviation from the predetermined threshold range; receiving real-time feedback information from the plurality of therapy consoles responsive to the adjustment of the operational parameter; iteratively updating the control signals based on the real-time feedback information; and sending the updated control signals to automatically adjust an operational parameter of the at least one therapy console and mitigate a remaining deviation from the predetermined threshold range. ### Claim 2 (depends on 1) The method of claim 1, wherein determining whether the received information is outside a predetermined threshold range comprises determining whether physiological information is outside a physiological threshold range, and wherein the physiological information comprises intraluminal pressure, intraluminal temperature, fluid flow rates, laser energy parameters, or any combination thereof. ### Claim 3 (depends on 1) The method of claim 1, wherein determining whether the received information is outside a predetermined threshold range comprises determining whether captured scene information is outside a visual threshold range, and wherein the captured scene information comprises turbidity, clarity, image saturation, laser aiming beam visibility, or any combination thereof. ### Claim 4 (depends on 1) The method of claim 1, wherein determining whether the received information is outside a predetermined threshold range comprises determining whether procedural state information is outside a procedural threshold range, and wherein the procedural state information comprises equipment activation status, time elapsed in procedure, treatment efficacy indicators, or any combination thereof. ### Claim 5 (depends on 1) The method of claim 1, wherein automatically adjusting an operational parameter comprises adjusting one or more operational parameters of multiple ones of the plurality of therapy consoles in a coordinated manner to optimize performance across the multiple therapy consoles. ### Claim 6 (depends on 1) The method of claim 1, wherein the plurality of therapy consoles comprises at least a fluidics unit, a laser energy console, and an endoscope, and wherein automatically adjusting an operational parameter comprises coordinating operation between at least two of the fluidics unit, laser energy console, and endoscope based on the received information. ### Claim 7 (depends on 1) The method of claim 1, further comprising: determining additional information derived from the received information; and adjusting the predetermined threshold range based on the additional information to provide dynamic threshold management during the urological procedure. ### Claim 8 (depends on 1) The method of claim 1, wherein automatically adjusting an operational parameter comprises adjusting fluid flow rates, laser energy parameters, scope deflection, fiber positioning, or any combination thereof. ### Claim 9 (depends on 1) The method of claim 1, further comprising: monitoring changes in the received real-time feedback information over time; predicting future values of the received information based on the monitored changes; and proactively adjusting the updated control signals based on the predicted future values to prevent the received information from exceeding the predetermined threshold range. ### Claim 10 (depends on 1) The method of claim 1, further comprising: determining stone composition and texture from the received information; and wherein automatically adjusting an operational parameter comprises adjusting laser energy parameters based on the determined stone composition and texture to optimize stone fragmentation while maintaining the received information within the predetermined threshold range. ### Claim 11 (depends on 1) The method of claim 1, wherein the single control device is configured to automatically coordinate adjustments across multiple therapy consoles to maintain optimal procedural conditions based on the received information and real-time feedback information. ### Claim 12 (depends on 1) The method of claim 1, further comprising: determining distance between a treatment device and target tissue from the received information; and wherein automatically adjusting an operational parameter comprises adjusting laser energy parameters and scope positioning based on the determined distance to maintain optimal treatment conditions. ### Claim 13 (depends on 1) The method of claim 1, wherein the predetermined threshold range is dynamically adjusted during the urological procedure based on real-time analysis of the received information and real-time feedback information. ### Claim 14 (depends on 1) The method of claim 1, wherein the updated control signals comprise coordinated commands that cause synchronized automatic adjustments across multiple therapy consoles to mitigate remaining deviations from the predetermined threshold range. ### Claim 15 (depends on 1) The method of claim 1, further comprising: generating a composite display comprising visual indications of the received information, the automatic adjustments, and the iterative closed loop control status; and sending display control signals to cause an operating theater display to display the composite display showing real-time closed loop control operations. ### Claim 16 A urological operating room closed loop control system comprising: an operating theater; a plurality of therapy consoles provisioned in the operating theater, each comprising processing circuitry configured for use in performing a urological procedure; a single control device comprising: a processor configured to: receive real-time information from the plurality of therapy consoles; determine whether the received information is outside a predetermined threshold range, wherein the received information comprises physiological information, captured scene information, radiological image information, procedural state information, or any combination thereof; automatically generate control signals based on a determination that the received information is outside the predetermined threshold range; send the control signals to at least one therapy console of the plurality of therapy consoles to adjust an operational parameter and mitigate a deviation from the predetermined threshold range; receive real-time feedback information from the plurality of therapy consoles responsive to the adjustment; iteratively update the control signals based on the real-time feedback information; and send updated control signals to automatically adjust operational parameters and mitigate remaining deviations from the predetermined threshold range. ### Claim 17 (depends on 16) The urological operating room closed loop control system of claim 16, wherein the processor is further configured to automatically adjust multiple operational parameters simultaneously across different ones of the plurality of therapy consoles based on the received information and real-time feedback information to maintain optimal procedural conditions. ### Claim 18 At least one machine readable storage device, comprising a plurality of instructions that in response to being executed by a processor of a single control device cause the single control device to: receive real-time information from a plurality of therapy consoles provisioned in an operating theater, each configured for use in performing a urological procedure; determine whether the received information is outside a predetermined threshold range, wherein the received information comprises physiological information, captured scene information, radiological image information, procedural state information, or any combination thereof; automatically generate control signals based on a determination that the received information is outside the predetermined threshold range; send the control signals to at least one therapy console of the plurality of therapy consoles to adjust an operational parameter and mitigate a deviation from the predetermined threshold range; receive real-time feedback information from the plurality of therapy consoles responsive to the adjustment; iteratively update the control signals based on the real-time feedback information; and send updated control signals to automatically adjust operational parameters and mitigate remaining deviations from the predetermined threshold range. ### Claim 19 (depends on 18) The at least one machine readable storage device of claim 18, wherein the instructions when executed by the processor, further cause the single control device to: monitor changes in the real-time feedback information over time; predict future values of the received information based on the monitored changes; and proactively adjust the updated control signals based on the predicted future values to prevent the received information from exceeding the predetermined threshold range. ### Claim 20 (depends on 18) The at least one machine readable storage device of claim 18, wherein the instructions when executed by the processor, further cause the single control device to automatically coordinate adjustments across multiple therapy consoles to maintain optimal procedural conditions based on the received information and feedback signals.